足陽明之瘧，令人先寒，洒淅洒淅，寒甚，久乃熱，熱去汗出，喜見日月光火氣，乃快然，剌足陽明跗上。
足阳明之疟，令人先寒，洒淅洒淅，寒甚，久乃热，热去汗出，喜见日月光火气，乃快然，刺足阳明跗上。
Zú yáng míng zhī nüè, lìng rén xiān hán, xiǎn xī xiǎn xī, hán shèn, jiǔ nǎi rè, rè qù hàn chū, xǐ jiàn rì yuè guāng huǒ qì, nǎi kuài rán, cì zú yáng míng fū shàng.
Malaria of the foot yang brightness brings cold first, shivering and shaking; the cold is severe, and only after a long while does heat come. When the heat goes, sweat breaks out, and the person likes the light of sun and moon and the warmth of a fire, and so is eased. Needle the foot yang brightness above the instep.
**「洒淅洒淅」四字，是《素問》寫寒戰最細之筆**——不曰寒甚而曰「洒淅洒淅，寒甚」，**先狀其顫，後言其甚**，與下文「久乃熱」三字相屬：**顫之久而後熱，是陽明之瘧的節奏**。**本站「淅然」條（id 984）所收為第三十二篇「先淅然起毫毛」，與此同源**：**彼言寒之始起，此言寒之既甚**，**二條合觀，寒之始終備矣**。
歧伯曰：神有餘則笑不休，神不足則悲。血氣未并，五藏安定，邪客於形，洒淅起於毫毛，未入於經絡也，故命曰神之微。
歧伯曰：神有余则笑不休，神不足则悲。血气未并，五藏安定，邪客于形，洒淅起于毫毛，未入于经络也，故命曰神之微。
Qí bó yuē: shén yǒu yú zé xiào bù xiū, shén bù zú zé bēi. Xuè qì wèi bìng, wǔ zàng ān dìng, xié kè yú xíng, xiǎn xī qǐ yú háo máo, wèi rù yú jīng luò yě, gù mìng yuē shén zhī wēi.
Qi Bo says: when the spirit is in excess a man laughs without stopping; when it is insufficient he grieves. But if blood and qi have not yet pooled and the five depots are settled, the evil only lodges in the body: a shivering rises in the fine hair and has not entered the channels and network vessels. This is called a faint disorder of the spirit.
「邪客於形，洒淅起於毫毛，未入於經絡也，故命曰神之微」——**「洒淅」本篇1見，在神之微一證中**：**洒淅者，惡寒之貌；邪客於形而未入經絡，則洒淅起於毫毛**；**「洒」此讀 xiǎn，不作灑水之 sǎ；「淅」讀 xī**；**「洒洒」「洒淅」皆寒貌，本站从 xiǎn**
少陰之復，燠熱内作，煩躁鼽嚏，少腹絞痛，火見燔爇，嗌燥，分注時止，氣動於左，上行於右，欬皮膚痛，暴喑心痛，鬱冒不知人，乃洒淅惡寒，振慄譫妄，寒已而熱，渴而欲飲，少氣骨痿，隔腸不便，外爲浮腫，噦、噫，赤氣後化，流水不冰，熱氣大行，介蟲不復，病疿、胗、瘡瘍，癰疽、痤、痔，甚則入肺，欬而鼻淵，天府絶，死不治。
少阴之复，燠热内作，烦躁鼽嚏，少腹絞痛，火见燔爇，嗌燥，分注时止，气动于左，上行于右，咳皮肤痛，暴喑心痛，郁冒不知人，乃洒淅恶寒，振栗谵妄，寒已而热，渴而欲饮，少气骨痿，隔肠不便，外为浮肿，哕、噫，赤气后化，流水不冰，热气大行，介虫不复，病疿、胗、疮疡，痈疽、痤、痔，甚则入肺，咳而鼻渊，天府绝，死不治。
Shào yīn zhī fù, yù rè nèi zuò, fán zào qiú tì, shào fù jiǎo tòng, huǒ xiàn fán ruò, yì zào, fēn zhù shí zhǐ, qì dòng yú zuǒ, shàng xíng yú yòu, kài pí fū tòng, bào yīn xīn tòng, yù mào bù zhī rén, nǎi xiǎn xī wù hán, zhèn lì zhān wàng, hán yǐ ér rè, kě ér yù yǐn, shǎo qì gǔ wěi, gé cháng bù biàn, wài wéi fú zhǒng, yuě, ài, chì qì hòu huà, liú shuǐ bù bīng, rè qì dà xíng, jiè chóng bù fù, bìng fèi, zhěn, chuāng yáng, yōng jū, cuó, zhì, shèn zé rù fèi, kài ér bí yuān, tiān fǔ jué, sǐ bù zhì.
When lesser yin takes revenge, pent heat is generated within, with fretfulness and agitation, snivelling and sneezing, cramping pain of the lower belly, fire appearing and burning, a dry throat, and a pouring that stops and starts; qi moves on the left and goes up on the right; there is cough with pain of the skin, sudden loss of voice and pain of the heart, a clouded faintness in which a man does not know others, and then shivering aversion to cold, trembling and wild talk; when the cold is over heat comes, with thirst and a wish to drink, short qi and flaccid bones; the bowel is blocked and the stool does not pass, and outwardly there is swelling, retching and belching. The red qi transforms late, running water does not freeze, heat qi runs its course, and the shelled creatures do not breed again; there are prickly heat, rashes, sores, abscesses, boils, acne and piles, and in grave cases it enters the lung, with cough and a running nose. The tianfu pulse is extinguished — death, not to be treated.
**「洒淅」本篇1見，止在此句**；**此段「乃洒淅惡寒，振慄譫妄」，少陰之復所生**